School of Physical Therapy, Universidad de Las Américas, Quito 170124, Ecuador.
Facultad de Ciencias de la Educación, Pontificia Universidad Católica del Ecuador, Quito 170143, Ecuador.
Int J Environ Res Public Health. 2021 Feb 3;18(4):1378. doi: 10.3390/ijerph18041378.
More minutes of physical activity (PA) accumulated during a day are associated with a lower risk of diabetes mellitus type 2. However, it is less known if distinct dimensions of PA can produce a different protective effect in the prevention of prediabetes. The aim of this study was to analyze the impact of work and recreational PA on prediabetes among U.S. adults during the period 2015-2016 using the National Health and Nutrition Examination Survey (NHANES) database. Individuals ( = 4481) with hemoglobin A1c (HbA1c) test values of 5.7% to 6.4% were included. A logistic regression multivariate-adjusted analysis was conducted to estimate the association between the odds ratios (ORs) and 95% confidence intervals (CIs) of prediabetes, with work and recreational PA. The prevalence of prediabetes among U.S. adults was lower in physically active individuals both at work (24%) and recreational (21%) physical activities compared to individuals who were not physically active (27 to 30%). Individuals lacking practice of recreational PA had a high risk of prediabetes (OR = 1.26, 95% CI: 1.080 to 1.466). PA may be a protective factor for prediabetes conditions depending on gender, age, ethnic group, waist circumference, and thyroid disease.
一天中积累的更多分钟的身体活动（PA）与 2 型糖尿病的风险降低相关。然而，不同 PA 维度是否能在预防糖尿病前期方面产生不同的保护作用，这一点知之甚少。本研究旨在使用美国国家健康和营养检查调查（NHANES）数据库，分析 2015-2016 年期间美国成年人的工作和娱乐 PA 对糖尿病前期的影响。纳入血红蛋白 A1c（HbA1c）检测值为 5.7%至 6.4%的个体（n=4481）。进行了多变量调整的逻辑回归分析，以估计工作和娱乐 PA 与糖尿病前期之间的比值比（OR）和 95%置信区间（CI）的关联。与不进行身体活动的个体（27%至 30%）相比，在工作（24%）和娱乐（21%）身体活动中活跃的个体的糖尿病前期患病率较低。缺乏娱乐性 PA 锻炼的个体患糖尿病前期的风险较高（OR=1.26，95%CI：1.080 至 1.466）。PA 可能是预防糖尿病前期的一个保护因素，具体取决于性别、年龄、种族、腰围和甲状腺疾病。
